We evaluated the efficacy of interleukin 2 (DAB486)-toxin (IL-2-diphtheria toxin fusion protein; IL-2-toxin) in combination with RS-61443 to prolong murine thyroid allograft survival. BlO.BR thyroid allografts were transplanted beneath the renal subcapsule in recipient (C57BL/l0 mice and graft survival determined 21 days later. Treatment with IL-2-toxin (25Jlg/day for 14 days) was unable to prolong graft survival significantly. RS-61443 treatment (21 days) achieved significant graft prolongation only at doses of 300 mg/kg daily or greater. When both drugs were used in combination (IL-2-toxin, 25Jlg/day for 14 days RS-61443 200 mg/kg daily for 21 days), statistically significant (P < 0.0001) graft prolongation was obtained. Our results suggest that IL-2-toxin in combination with subtherapeutic RS-61443levels significantly prolongs murine thyroid allograft survival. IL-2toxin and RS-61443, because of their unique and complementary mechanisms, hold promise for more selective immunosuppression.